HomeMy WebLinkAbout05-21-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of DANIEL C. CUSTER
21-07-0272
File Number
also known as
, Deceased
Social Security Number 208-52-7387
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil(s) dated
named in the
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(State relevant circumstances. e.g., renunciation, death of executor. etc.):';;: g; N ,~.'
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution 6!!~estrument(s) ~tter~='
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -<, ,';;,2'1 =i' ;"]
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00 B. Grant of Letters of Administration d.b.n. J> _
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minorital!Jb
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:(If
Administration. c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
I Name Relationshio Residence I
259 MYERS LANE
JOSEPH CUSTER BROTHER NEW CUMBERLAND PA 17070
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principal residence at 179 NORTH
ENOLA ROAD ENOLA PA 17025 EAST PENNSBORO CUMBERLAND
(List street address. town/city, township. county. state, zip code)
Decedent, then 48 years of age, died on 3/6/2007 at
179 NORTH ENOLA ROAD ENOLA
PA 17025
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
13.000.00
0.00
0.00
0.00
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Typed or printed name and residence
JOSEPH CUSTER
259 MYERS LANE NEW CUMBERLAND
PA 17070
Page 1 of2
Form RW-02 rev. /0./3.06
Oath of Personal Representative
COMMONWEAL TH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the know ledge and belief of Petitioner( s) and that, as personal representative( s) of the Decedent, Petitioner( s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
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before me the
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JOSEPH CUS
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
Estate of DANIEL C. CUSTER
, Deceased
Social Security Number: 208-52-7387 Date of Death: 3/6/2007
AND NOW, ~ 2! , J.iJlJy , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that LettersAMINISTRATION
are hereby granted to JOSEPH CUSTER
. in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will
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4
$ :)S'
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Attorney Signature:
FEES
Letters ............................. $
Short Certificate(s) ...../..... $
.....s:......
Renunciation(s)
~
Attorney Name:
DAVID H. STONE. ESQUIRE
Supreme Court I.D. No.: #39785
$
$
$
$
$
$
$
TOTAL ............................. $
Address:
414 BRIDGE STREET
NEW CUMBERLAND
PA
17070
Telephone:
717 -77 4-7 435
Form RW-02 rev. 10.13.06
Page 2 of2
EXHIBIT TO PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Daniel C. Custer
File Number: 21-07-0272
Petitioner states the following relevant circumstances:
The administratrix, Jennie A Metallo, died on May 24, 2007.
The surviving heirs of the deceased, Daniel C. Custer, are Joseph Custer, Denise Kidd,
Tracy Custer Corwell, Randy Custer, Sam Custer, and Gary Custer, all of whom are siblings of
the decedent.
Attached to the Petition are the Renunciations of Denise Kidd, Tracy Custer Corwell,
Randy Custer, Sam Custer, and Gary Custer in which they renounce their right to administer the
Estate of the Decedent and respectfully request that Letters of Administration d.b.n. be issued to
Joseph Custer, the Petitioner herein.
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DANIEL C. CUSTER . Deceased
I. DENISE KIDD , in my capacity/rela\ ionshlp ,IS
rPnn/ Name)
SISTER
of the above Decedent, hereby renounce the right tu
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOSEPH CUSTER
ft\~ \ ') ( D.9-J
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(Signa/lire)
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(DUIC)
(Street Address)
lCill', Slille, 7ip)
Executed ill Register's OfJice
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's OfJice
Before the undersigned personally appc red lht'
party executing this renunciation and Ct' ti fled
that he or she executed the renunciati~l Cor lhe
purposes st ted within on tbis pJ' "day
of , '-04 r .
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Deputy for Register of Wills
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ldr ;0.3 s, :\:\/i-f,.-J~61J
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Notary Public
My Commission Expires:
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(Signature and Seal of Notary or other ullici,d ljuJIJ!;cJ u
administer oaths. Show dale or expIration of \oL.1r)"s CU1'll:"ll~."\O\\ )
om onwealth of Penns Iv ni
NOTARIAL SEAL
CARL E. SNYDER, SR, Notary Public
Fairview Township, County of York
My Commission Expires December 2, 2009
FU/'IIIIiW,U6
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
Estate of DANIEL C. CUSTER . Deceased
I. &".1.1 aoblE ~I~ Iro..c.'t- Cus~eV"'
S (Prill! Name)
BR8TIIE':R , '; ,T-e...V
C, ~lJ.1 f:-/ !
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOSEPH CUSTER
(S,g~~~lP-tJ t C o/IM~
50 SPRINGERS LANE
(Slreef Address)
NEW CUMBERLAND
(Cil\'. Slale. Zip)
PA 17070
Executed in Register's Office
Swom to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this / D day
of m LLY ,d(}/),p .
~JJtfl) /)}~ A AQ A )
Notary Public
My Commission Expires: / /-j> - oct
Deputy for Register of Wills
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(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission. I
Z I :Z Wd I Z A VW eOOl
Form RW-Oo I"," /0.
COMMONWEAlTH OF pENNSYLV '^
NOTARIAL SEAL .
OEBORAH WARREN, Notary pubhe
Shippe,lSburg Twp., Cumberland County
My Commission Expires Nov. 8, 2009
_.....,~,.... .
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DANIEL C. CUSTER , Deceased
I, RANDY CUSTER , in my capacity/relationship as
(Print Name)
BROTHER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOSEPH CUSTER
rnoy /~. ;:)()t1P
(Date)
285 CARLISLE ROAD
(Street Address)
NEWVILLE
(City, State, Zip)
PA 17241
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
~~ose];ithin on ::0 MY
zh", JeLlIl
Notary Public
My Commission Expires: 1/-J'-DC'j
Deputy for ~i$JsrgfW~ll~i;nJ
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2 I :2 Wd I Z A V~,J SOOl
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
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Form RW-06 r~~ 16.ii:rIr)-)
COMMONWEAlTH OF PENNSYLV ta\
NOTARIAL SEAL
DEBORAH WARREN, Notary Public
Sh. Ippensburg Twp, , Cumberland. county. .
My Comml..lon Expl,.. Nov. 8, 2009
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
Estate of DANIEL C. CUSTER , Deceased
I, SAM CUSTER , in my capacity/relationship as
(Print Name)
BROTHER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOSEPH CUSTER
(Date)
may If), ~0t7?
,
J~~tk1le~
50 SPRINGERS LANE
(Street Address)
NEW CUMBERLAND
(City. State. Zip)
PA 17070
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation forthe
purposemated within on this P day
of a\ j , dOl), .
jp))~ i ! JJtw.P A ./
Notary Public
My Commission Expires: JJ-f-09
Deputy for WdR'~~~r:;Q~:'Yil}~i!il:J
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(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
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COMMONWEALTH m PENNSYLV
NOTARIAL SEAL .
" WARREN Notary Public
DEBORAH c' benand County
~:Pq;;~~~~~~~PEXP.I~~ Nov. 8, 2009
Form RW-06 rev. 10.13.06
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RENUNCIATION
CUMBERLAND
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of DANIEL C. CUSTER
, Deceased
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
I, GARY CUSTER
(Print Name)
BROTHER
JOSEPH CUSTER
(Date)
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17
(Signature)
50 SPRINGERS LANE
(Street Address)
NEW CUMBERLAND
(City, State, Zip)
PA 17070
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this /0 day
of {'h.CJ--"--,.J. ~ ,w:;\<S
,po COMMONWEALTH OF PENNSYLVANIA
NoI8riIII Sell
tltil8rd."*'Y PubIlc
0MlII. Mantow Cowttt
CJJ -. . ~. DeoeIIlbef 27.20
Deputy for Re,*jst~~pf-\WiV~,;/~ilJ
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otary Public
My Commission Expires:
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(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission,)
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Form RW-06 rev: lO.B-:06,'..'
HIOS.gOS REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
No.
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Local Registrar './
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REV 1112006
PRINT IN
4ANENT
:KINK
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
most 01 workin life. Do no! stale retired
Kind 01 Business I Industry
PENDOT
12. Was Oecedenlever In the
U.S. Armed Forces?
OVes KlNo
Oeced8l1fs
Actual Residence 17a. State
13. Decedent's Education (Specify only highest grade COmpleted)
Elementary / Secondary (0-12) College (14 or 5+)
12
PA
York
STATE FILE NUMBER
1. Name of Decedent (Rrsl. middle, last, suffix)
J en n i eA. Me tall 0
5. ~ (Last Blnhday)
V~
6. Dale of Birth (Month, da, ar)
7. Birthplace (C and stale or fo
69
2/16/1938
arrisburg, PA
o NUI'sing Home 0 Residence
9. 'Nas Decedent or Hispanic Ori!}!n? rn No 0 Yes
(If yes, speCify Cuban,
Mexican, Puerto Rican, elc.)
OOthe' . Spedfy,
10. Race: Amencan Indian, Black. White, elC.
ISpeciljlJ
White
ad. Facility Name (If not institution, give stteet and number)
17b. COunty
17e. 1Kl Yes, Decedent LiY9CI in
17d.O No, Decedent Lived within
Aclual limits ot
J. Metallo Jr.
Dauphin
11. Oecedenfs Usual Occu lion Kind of worle done du .
KindofWorX
Clerical
Harrisburg, PA
14. MaTitaI Stalus: Married, Never Married,
Widowed, Divorced (spec;ty)
Married
.. 16. OEadenfs Mailing Address (Sleet, city J town, slate, zip code)
50 Springers Lane
New Cumberland PA 17070
Twp.
18.. Father's Name (FltSt, middle, last, suIflx)
Carlton Williams
City/Bore
Jr.
o Cremalion 0 Dooalion
19. Mother's Name (First, middle, maiden surname)
Helen Mclauglin
2Ob. Inforrnanfs Mailing Address (&reet, city f town, slale, zip code)
50 Springers Lane New Cumberland PA 17070
2.1c. ~&C9 01 O\8posi1ion (Name of cemetefY, crematory or other place)
Enola Cemetery
21d. Localion (City ftown, slale, zip code)
Enola PA 17025
22c. Name and Address of Facility
Richardson Funeral Home Inc. 29 S. Enola Dr. Enola, PA 17025
230. Lloonse Numbef
23c. Date Signed (Month, day, year)
dcJl
26. Was Case Referred to Medicai Examiner f Coroner for a Reason Other than Crematioo or Donation?
DYes No
Approximate interval:
Onsello Dealtl
Part II: Enter other sianificanl conditions COI'ltTihotiYI!o d88tn,
but not resulting in fhe underlying cause !;liven In Part I.
28. Did Tobacco Use Contribute 10 Death?
o Ves 0 Probably
o No 0 Un,n""n
~~Ie
h! Not pregnant wrthin past year
o Pregnant at time of death
o Not pregnant, but pregnant within 42 days
01 death
o Not pregnant, but pregnant 43 days to 1 year
before death
o Unknown il pregnant within the pasl year
32c. Place 01 Injury: Home, Farm, Street, FactOl'J.
Office Building, ele, (Specify)
~~::;~~\(fise~
a.
~(~~\)
Seqoential'ry list cooc:ilions, if any,
~~0=~~~X'~r: a.
(disease or iDjUfY thaI initiated the
events resultiilg In death) LAST.
Due 10 (or as a conseque~ 01):
b ()y.IL.M~h
Due 10 (or as a consequence 01):
~
c.
Due 10 (or as a consequence 00:
d.
o Ves ~ No
OVes ONO
31. Manner of Death
o Nalural 0 HomiCide
o Accident 0 Pending Investigation
o Suicide 0 Could Not be Determined
32d. Time of Injury
30&. Was an Pw10psy
Perlormed?
3Ob. Were AUlopsy Findings
Available Prior to Completion
01 Cause 01 Death?
M.
321. II Transportation Injury (Specify)
o Driver / Operator 0 Passellg8r 0 Padestrian
Olha,.Spacity,
33b. Signature and Title of Certifier
329. loca1\on of Injury (Street. dry 1 town, stale)
330. Celliliar lelleel! on~ one)
~::r:r~;i~=;,n=~~c:: :~~~th~h:.:;~:~~:,h: ~~:..~.. d~~ ~:d ~m~I~~ ~e~ ~~.... _.... .. .... .. .... _ ...... .. _ 0 ...
;~o:~~~,a~ :~~~h:~la~~~=~ t:~l:~~~n;::~~~~:~ot~~:~:: manner as stated-.. .... .... .. _...... .... .......... 0
:c:~c:~~;:~;~::~ and , or Inve.t1gatlon, In my opinion, death occurred at the time, date, and p\aCe, and due to the l;8use(s) and manner as staled.. 0
35. Regislrar's
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Dis"."Uion Pa",U NO._O# 70$/